Alternative Payment Methods Service Application

Apply For Alternative Payment Methods

Apply now for the services you need, we will get back to you within 24 hours or less

Information About Company - Step 1 of 4

Company Name *

Your company name, if individual you can use your personal name

Name of person filling out the information *

First

Last

Email *

Registration date *

Website / URL *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Your sector *

Kindly select your sector, if not listed choose Other

Are you licensed?

Does your company have any license for its services?

If licensed, by whom?

Specify country and licensing/supervising authority

What is your monthly expected turnover? (EUR) *

Enter your monthly expected turnover for the solution you require

Are you PCI DSS certified?

Checkboxes

Select an overview of where your customers are coming from

Do you have historical processing history?

Historical processing history upload

Click or drag files to this area to upload.You can upload up to 6 files.

Upload your previous processing information, the preference is for the past 6-months

What type of accounts do you need?

Select all that apply

What type of integration do you require?

Select your preference

Do you require integration through a third-party provider such as a cashier?

If third-party provider integration is required, to which one?

Type in the name of the third-party provider